With trt, or any inj amount, you run an AI if certain sides and/or blood numbers indicate doing so would be beneficial. Dont just jump on one. TT, free t, shbg and e2 should be a minimum what you and your doc are checking and trying to dial in (plus the other health markers).
I dont think you necessarily have to find a new doc, but I do think you are likely going to have to take on much of the monitoring/protocol responsibilities that would normally fall on his shoulders. If this bothers you, well I think you need to talk to him regardless and get some assurance and clarity from him as to what specifically he is prepared to monitor and prescribe, esp in these early stages.
I had apt this past Tuesday. And asked him about AI, checking Estrogen, IM vs Subq.. etc.. he brushed me off and told me i was way over thinking these issues and not to worry. My test was at 290, so he doesn't even think about worrying about Est levels unless my test is through the roof, like 1,500. ( I know my test was low due to LGD, and the last pin of .5ml was five days before blood work....thinking that he would up my dose.)
Now, to clarify, i told him i was feeling great, blah blah. Didn't tell him about lethargy.. So he said lets check back in 90 days... I was feeling great up until this past week.... but that could be from the LGD, which i didn't tell him...
So, No more LGD, lets see how i feel over the next week or so... if the lethargy persists, I'll go back... He told me to come back if anything changes....